Individual
MR. RYAN MATTHEW SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3527 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-5901
(573) 893-7848
(573) 893-1984
Mailing address
1809 BRIARWOOD DR, ROLLA, MO 65401-3754
(573) 202-3166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018030484
MO
363LF0000X
Family Nurse Practitioner
207237
OK
Other
Enumeration date
08/17/2018
Last updated
01/21/2025
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